Experience with over 3,000 open and laparoscopic bariatric procedures: Multivariate analysis of factors related to leak and resultant mortality View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2004-02

AUTHORS

A. Z. Fernandez Jr, E. J. DeMaria, D. S. Tichansky, J. M. Kellum, L. G. Wolfe, J. Meador, H. J. Sugerman

ABSTRACT

BACKGROUND: Intestinal leak is a potentially lethal complication of Roux en-Y gastric bypass (GBP). Identification of patients at high risk for leak may reduce complication rates of surgeons early in the procedure learning curve. METHODS: A total of 3073 patients who underwent GBP were analyzed using univariate and multivariate logistic regression analyses of the following preoperative factors: hypertension (HTN), diabetes mellitus (DM), sleep apnea (SA), age, gender, weight, body mass index (BMI), and surgery type. Multivariate logistic regression analysis was performed for each procedure type. RESULTS: There were 48 (1.5%) deaths. Independent risk factors for death included leak, weight, procedure type, and HTN. A total of 102 (3.2%) leaks were found. Independent factors for leak included age, male gender, SA, and procedure type. CONCLUSION: The data suggests that older, heavier male patients with multiple comorbid conditions are at increased risk for leak and mortality. Surgeons early in their learning curve should avoid these high-risk patients to reduce complications. More... »

PAGES

193-197

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00464-003-8926-y

DOI

http://dx.doi.org/10.1007/s00464-003-8926-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1040328602

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/14691697


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